what you should observe during supervision :-fluid leaking/drooling from the corner of the mouth-delay in initiating swallowing process-trying very hard to swallow but unable to clear fluid/food in mouth-hyolaryngeal elevation and excursion-sign & symptoms of aspiration : coughing, increase RR, choking-fluid / food residual inside the mouth.

...increased risk of gout was not associated with vegetable protein. (ADA,2009)...vegetable intake, REGARDLESS of purine content, may be protective as it may increase urate excretion (ADA,2009)Kump 3 : Buah-buahanMakan secukupnya

Choi & colleagues also observed a direct correlation between the degree of fructose intake, measured as soft drink consumption, and the risk of both hyperuricemia and gout (ADA,2009)Higher vitamin C intake is independently associated with a lower risk of gout (ADA,2009)Kump 4 : Susu & produk tenusuMinum secukupnyaHigh intake of dairy products seem to have an inverse relationship with hyperuricemia, as they may have a uricosuric effect (ADA,2009)

Increased risk of gout was associated with a higher consumption of meat and seafood but not with a higher consumption of animal (milk, egg or cheese) protein. (ADA,2009)Lemak & gulaKawal pengambilannya & pilih kaedah memasak yang lebih sihat.Urate excretion tends to be reduced by fats, the diet should be relatively low in fat (30% of calories) and modified in cholesterol (<300)

AirMinum air sebanyak-banyaknya

Intake of fluids (3 L/day) should be encouraged to assist with the excretion of uric acid and to minimize the possibility of renal calculi formation. (Dorfman, 2004)